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Workers' Compensation Division (WCD)

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Gayle Parrish    503-947-7626    Electronic Data Interchange (EDI) EDI medical bill reporting EDI proof of coverage reporting EDI claim reporting Other resources Receive updates to this information by e-mail EDI Medical Bill Reporting:           Send us an email about EDI Medical Bill Reporting questions           Oregon EDI Medical Bill Reporting Implementation Guide 9/4/08 (Includes ANSI loop, segment, data element summary, and file naming instructions.)       Expanded List of Valid Revenue Codes 9/29/08       List of Program Changes Made During Testing 10/3/08           EDI Medical Reporting User Teleconference Schedule 8/26/08       Teleconference notes           Frequently asked questions for EDI medical bill reporting 7/16/08           Revised required documents:       Event Table 4/2/08       Element Requirements 5/27/08 NOTE: This document shows the final revisions of data requirements after the 5-12-08 hearing on the Division 160 Rules.       Edit Matrix 6/19/08           Required Trading Partner Documents: 5/19/08       Trading Partner Profile       Transmission Profile           Oregon Data Elements by Source table 4/29/08           UCF pharmacy form field information 8/7/08           Implementation Schedule           Final Reporter Cutover Plan 5/28/08 NOTE: This document shows changes made to the earlier draft document.           Obtain IAIABC EDI Medical Implementation Guide           Current Rules affecting EDI medical bill reporting:       Division 009 - Oregon Medical Fee and Payment Rules       Division 160 - Electronic Data Interchange Rules       EDI Proof of Coverage Reporting:   7/1/09 Change to policy-based EDI proof of coverage reporting   Current guaranty contract-based EDI proof of coverage reporting       EDI First and Subsequent Reports of Injury:   * Project on hold, pending completion of claims process functional review   Other resources:   HIPAA   International Association of Industrial Accident Boards and Commissions (IAIABC)   National Council on Compensation Insurance   Insurance Services Office   Workers' COMP-LINK If you have questions about the information contained in this document, please contact Gayle Parrish, 503-947-7626.

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